HomeMy WebLinkAbout2445 S Melonville Avei
CITY OF SANFORD ELECTRICAL PERMIT APPLICATION
Permit Number: 0 2—7 Date: 9 L,5&
The undersigned hereby, applies for a permit to install the following electrical:
Owner's Name: VV /Ln r!. / P
Address of Job:
Electrical Contractor: // G 1 /
Residential: Non -Residential:
Number Amount
ddition AKration, Repair (Residential & Non -Residential)
Waiu ential:
AMP Service
New Commercial:
AMP Service
Change of Service:
From AMP Service to AMP Service
Manufactured Building
Other:
Description of Work: !C -
U G
c z
Application Fee: 10.00
TOTAL DUE:
By Signing this application I am stating that I am in compliance with City of Sanford Electrical Code.
Applicant's Signature
State License Number